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The following guide will help you complete your Application for Authorization to Possess Marihuana for Medical Purposes.
| What? | Why? | Who? |
|---|---|---|
| Form A | provides all necessary background information to assess application | applicant (requesting authorization) |
| Photos (2) | two copies of current acceptable photos (eg. passport photo) | medical practitioner signature on the back of the photos certifying that the photo accurately represents you |
| Form B1 | applicant is included in category 1 (listed below) | medical practitioner |
| Form B2 | applicant NOT included in category 1 (listed below) | medical practitioner |
| Form C | personal cultivation | applicant (requesting licence to cultivate) |
| Form D | cultivation by a designated person | applicant and designated person |
| Photos (2) | two copies of current photos of that designated person | your signature on the back of the photos certifying that the photo accurately represents him/her |
| Criminal Record Check | statement certifying that your designated person has not been convicted with a designated drug offence within the last ten (10) years | Canadian police agency by designated person |
| Form E1 | HC supply of dried marihuana | applicant |
| Form E2 | HC supply of marihuana seed | applicant |
| Form F | cultivation site is not an ordinary place of residence or the designated persons ordinary residence | applicant and property owner(s) |
| Medical Conditioln | Symptom |
|---|---|
Multiple Sclerosis; |
Severe pain, persistent muscle spasms |
Cancer; or |
Severe pain, cachexia, anorexia, weight loss, severe nausea |
| Severe Arthritis | Severe pain |
| Epilepsy | Seizures |
| OR Applicants who suffer from a symptom treated within the context of providing compassionate end of life care | |
OR
Form B2, for applicants who suffer from symptoms of a medical condition other than those in Form B1.
"Authorization to Possess" means an Authorization to Possess dried marihuana for medical purposes.
"conventional treatment" means in respect of a symptom a medical or surgical treatment that is generally accepted by the Canadian medical community as a treatment for the symptom.
"designated drug offence" means:
"designated person" means the person designated to produce marihuana for the applicant.
"designated person production licence" is a licence that is held by an individual who has been designated to grow marihuana for an individual who has an Authorization to Possess marihuana for medical purposes.
"dried marihuana" means harvested marihuana that has been subjected to any drying process.
"licence to produce" means either a personal-use production licence or a designated person production licence.
"medical practitioner" means a person who is authorized under the laws of the province to practice medicine in that province. A medical practitioner for the purpose of completing this application is either a general practitioner (i.e. your regular doctor) or a specialist who specializes in the area of your medical condition (e.g. an Oncologist is a specialist in the area of cancer treatment).
"medical purpose" means the purpose of mitigating a person's Category 1 or 2 symptom identified in an application for an Authorization to Possess.
"personal use production licence" is a licence for producing marihuana for personal use for medical purposes that can be held by an individual who is authorized to possess marihuana for medical purposes.
"production area" means the place where the production of marihuana is conducted. This must be:
"representative" means any person who the applicant wishes to have assisting them, whether they have legal capacity to do so or not.
"specialist" means a medical practitioner who is recognized as a specialist by the medical licensing authority of the province in which the practitioner is authorized to practice medicine.
Send completed application kit to:
Marihuana Medical Access Division
Drug Strategy and Controlled Substances Programme
AL: 3503B
Ottawa ON K1A 1B9
For more information:
Phone: 1-866-337-7705
Website: www.healthcanada.gc.ca/mma
Fax: (613) 952-2196
This is not a legal document. Should there be any inconsistencies between this guide and the Marihuana Medical Access Regulations, the Regulations will take precedence. The Regulations are available to the public through the Canada Gazette.